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1386152080
COLBY WAYNE SUTTON
CONWAY, AR
NPI
1386152080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1320)
Enumeration Date
2018-01-16
Last Update Date
2018-01-16
Business Address
COLBY WAYNE SUTTON COTA
2740 COLLEGE AVE
CONWAY, AR 72034-6141
Phone number: 501-329-5459
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Mailing Address
COLBY WAYNE SUTTON COTA
2740 COLLEGE AVE
CONWAY, AR 72034-6141
Phone number: 501-329-5459
Copy
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